# SAN GABRIEL MEDICAL INVESTORS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** LIFE CARE CENTER OF SAN GABRIEL
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831125608
- **Authorized official:** MRS. EUNICE R FLETCHER (SR. EXECUTIVE DIRECTOR)
- **Authorized official phone:** (626) 289-5365

## Contact information

- **Practice address:** 909 W SANTA ANITA ST, SAN GABRIEL, CA 91776-1018
- **Practice address phone:** (626) 289-5365
- **Practice address fax:** (626) 289-9503
- **Mailing address:** 909 W SANTA ANITA ST, SAN GABRIEL, CA 91776-1018
- **Mailing address phone:** (626) 289-5365
- **Mailing address fax:** (626) 289-9503

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | CA | Yes |

## Other

- **Enumeration date:** 06/24/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | ZZT05105N | — | CA |